Healthcare Provider Details

I. General information

NPI: 1457042772
Provider Name (Legal Business Name): LEARNING TOGETHER SPEECH THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 EMBARCADERO W APT 1318
OAKLAND CA
94607-4506
US

IV. Provider business mailing address

111 EMBARCADERO W APT 1318
OAKLAND CA
94607-4506
US

V. Phone/Fax

Practice location:
  • Phone: 213-373-7496
  • Fax:
Mailing address:
  • Phone: 650-219-3238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MALINA MAR
Title or Position: OWNER
Credential: M.S., CCC-SLP
Phone: 213-373-7496